Organization Active NPI

Steve W. Rucker, M.D.,P.C.

  • Nephrology Physician
  • New Hyde Park, NY
National Provider Identifier
1245314079
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
164250 Issued in NY
Legal business name
STEVE W. RUCKER, M.D.,P.C.
Practice address
1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017
Phone
(516) 775-4545
Fax
(516) 775-4646
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve W Rucker, M.D.
Title
Owner
Phone
(516) 775-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 164250 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017

Mailing address

1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017
Phone (516) 775-4545

Other identifiers 1

IdentifierTypeStateIssuer
CN4613OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1245314079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 216",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 216",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE W. RUCKER, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-775-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "164250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN4613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.